The image is a close-up of a medical prescription form, likely from Vietnam
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FM-jQQTq1
Nha Trang, Vietnam
$25.13total USD

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The image is a close-up of a medical prescription form, likely from Vietnam

Short Term
Nha TrangVietnam

The image is a close-up of a medical prescription form, likely from Vietnam. It is written in blue ink on white paper with dotted lines for filling in information. The header includes "Họ và tên" (Name) and "Chuẩn đoán:" (Diagnosis:). Below this are numbered entries (1 to 6) with lines to record treatment details, including "mỗi ngày" (daily) and "lần, mỗi lần" (times, each time). Some entries are filled with handwritten notes and numbers. For example, entry 1 has "14 anmanti. 6.25 my blần, mỗi lần.. 1", entry 2 has "L'anery. 11.2. lần, mỗi lần.. 1" and entry 3 has "Bafferalzan. 6.20mg 2 lần, mỗi lần.. 1". The bottom of the form has "Đề Nghị:" (Recommendation:) and a section that reads "*Lời dặn: Tái khám mang theo toa này" (*Advice: Follow-up visit, bring this prescription). There is also a date and doctor's signature section, with "Ngày....... tháng" and "Bác Sĩ". The paper appears to be slightly crumpled and creased. The lighting suggests it's indoors, possibly a clinic or hospital setting. The question about the location in Nha Trang, Vietnam, cannot be answered from the visual information provided in the image.